Summary
Overview
Work History
Education
Skills
Timeline
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Amy Mccutcheon

Mooresville

Summary

Dynamic Insurance Verification Specialist with extensive experience at PT Solutions, adept at ensuring HIPAA compliance and managing sensitive patient data. Proven track record in timely insurance benefit verification and resolving discrepancies, showcasing strong attention to detail and exceptional organizational skills. Committed to enhancing patient satisfaction through efficient processes and accurate documentation.

Overview

5
5
years of professional experience

Work History

Insurance Verification Specialist

PT Solutions
01.2025 - Current
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Updated patient records with accurate, current insurance policy information.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.

Insurance Verification Specialist

OrthoCarolina
08.2021 - 01.2025
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Updated patient records with accurate, current insurance policy information.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.

Patient Access Registrar

Novant Healthcare
09.2020 - 06.2021
  • Optimized appointment scheduling by accurately recording patient preferences and availability while balancing provider schedules.
  • Improved patient satisfaction by efficiently registering patients and verifying insurance information.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Determined patient financial needs and referred eligible patients to proper county, state, or federal agencies to obtain financial assistance.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Contributed to a positive work environment by consistently providing exceptional customer service to both patients and colleagues.
  • Expedited emergency room admissions through rapid yet thorough collection of critical information.
  • Developed a comprehensive understanding of medical terminology, aiding in the accurate documentation of patient visits and diagnoses.
  • Streamlined the registration process for increased efficiency and reduced wait times.
  • Maintained accurate patient records with diligent data entry and attention to detail.
  • Assisted in training new Patient Access Registrars, sharing best practices for optimal performance.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Obtained payments from patients and scanned identification and insurance cards.

Education

William Floyd High School
Mastic Beach, NY
05-1993

Skills

  • Attention to detail
  • Patient confidentiality
  • HIPAA compliance
  • Insurance coverage verification
  • Coverage and authorizations
  • Prior authorization processing
  • Medical terminology
  • Documentation and correspondence
  • Accuracy and precision
  • Electronic authorization processing
  • Insurance authorizations
  • Epic systems
  • Organization and time management
  • Eligibility determination

Timeline

Insurance Verification Specialist

PT Solutions
01.2025 - Current

Insurance Verification Specialist

OrthoCarolina
08.2021 - 01.2025

Patient Access Registrar

Novant Healthcare
09.2020 - 06.2021

William Floyd High School

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Amy Mccutcheon